KHYBER TEACHING HOSPITAL / Khyber Medical College /

Khyber College of Dentistry PESHAWAR

APPLICATION FOR THE POST OF __________________________
1.

Name________________________ 2. Fathers Name _______________

3.

Date of Birth__________________ 4. Domicile____________________

5.

N.I.D.Card No. ________________ 6. Phone No. i) Cell No. _________

ii) Res. PTCL _______
iii) Any other contact
No.
_____________
7.
Permanent Address____________________________________________
_________________________________________
8.

Mailing Address _____________________________________________

9.

Present posting if any __________________________________________

10.

EDUCATIONAL QUALIFICATION

S.No. Qualification
1

Name of Institution

Year

Award if Any

11.
S.No

Experience before postgraduate qualification (in the relevant speciality)

Designation

Institute/Hospital/Unit From

To

Total stay

(2)
12. EXPERIENCE AFTER POSTFRADUATE QUALIFICATION (in the relevant
speciality)
S.No Designation

12.

Institute/Hospital/Uni
t

From

To

Total stay.

Research Papers:

S.No. Title of research paper/article

Name of Journal with

year,Vol. No., page
No.

Authorship whether
Ist, 2nd, 3rd, 4th so on

1
2
3
4
5

Signature of the Applicant

Note: Application form must be filled completely and should accompany copies of all
necessary documents, research papers etc; otherwise application form will not be entertained.